Introduction: Children are not small adults

Question 1

UN definition of child

Answer 1

“every human being below the age of eighteen years unless, under the law applicable to the child, majority is attained earlier.”

Question 2

Physical differences in children

Answer 2

Smaller but disproportionate

Question 3

what is the 50th %ile?

Answer 3

Average

Question 4

On growth chart what does the distance between each gentile line represent?

Answer 4

2/3rds of a standard deviation

Question 5

What factor is important when looking at BMI?

Answer 5

Age

Question 6

Children have different physiological things:

Surface area:volume
% water content
Metabolic reserves
so get What? more easily

Answer 6

They (more)easily get:
Cold
Dehydrated
Hypoglycaemic

Question 7

What is pulse and respect rate like in kids?

Answer 7

Faster pulse, respiratory rate

Question 8

BP in kids?

Answer 8

Lower blood pressure

Question 9

How do sick kids retain normal blood pressure?

Answer 9

Increase heart rate until point and then BP drops

Question 10

Mum gives whole library of WHAT? that survive fro around 4 months

Answer 10

Immunoglobulins

Question 11

What is the ultimate test of a Childs immune system?

Answer 11

To clear CHICKEN POX need a good cellular and humeral immune system

Question 12

What factor is important when thinking about a Childs development?

Answer 12

THEIR AGE!!

Question 13

What is latency stage?

Answer 13

6-11 yrs wonderful childhood

Question 14

who delivers the most child health care?

Answer 14

GP

Question 15

apart from GPs who delivers child health care?

Answer 15

Emergency physicians
Neonatologists
Community paediatricians
Orthopaedic surgeons 
Medical Paediatricians
Paediatric surgeons

Question 16

Other than GPs and hospitals who else delivers child health care?

Answer 16

FAMILY

Question 17

What is the age range distribution? (of cases in paeds)

Answer 17

over 50% acute presentations <2 years

decreases with age after until 10+

Question 18

What are the common acute medical problems in RACH today?

Answer 18

Acute LRTI
Asthma
Bronchoilitis
croup
febrile convulsion
fever
gastroenteritis
URTI
vomitting
wheeze
other

Question 19

How long are children admitted to RACH for?

Answer 19

Vast majority (60%) are admitted for very short period of time

Question 20

What did we do to acute admissions?

Answer 20

60% nil

Question 21

What is there no such thing as in paeds?

Answer 21

routine bloods